United Health Care - EPO Exclusive Provider Plan
The United Health Care EPO consists of a network of providers offering benefits modeled after an HMO for most basic health care services. There are fixed co-payments rather that deductibles and co-insurance.
Medical
The EPO plan has a $15.00 co-pay and no claim forms when a member visits a primary care physician (family medicine, internal medicine, general practitioner, pediatrician, or OB/GYN). When visiting a specialist, the co-pay is $25.00. Also, members may go directly to see a specialist without a referral. Plan members choose their own participating specialist and make their own appointments. $2 million is the lifetime maximum under this plan.
There will be a $300 deductible for services not otherwise subject to co-pay (such as x-rays, lab work, etc.). A separate $300 deduction will also apply if you go out of the network and then there will be only 70% coverage after that.
Drugs
There is no prescription drug deductible under the EPO plan. The employee pays 50% of the cost of prescription drugs up to $50.00 per prescription.
For current rates, click here to go to the rate table.
For more information please call 1-800-272-8451.
You can also visit their website at www.groupbenefits.org